Dental Tribune United Kingdom Edition

15Cosmetic TribuneMay 21-27, 2012United Kingdom Edition About the author Dr Kirpa Johar, FF-3, Business Point, 137, Brigade Road, Bangalore 560004, India drkirpajohar@ldrr.org www. ldrr.org/home.html www.joharslaser- dental.com/ ‘Dental lasers promote patient compliance through the non-invasive nature of treat- ment, faster recovery time and reduced post-operative discomfort’ Fusion i-Seal - Light Curing Radiopaque Glass Ionomer Cavity Liner / Base £ 23.93 WEB: www.dentala2z.co.uk FREEPHONE: 0800 04 39 503 Item no: Pre10384 2 x 3g Syringe Kit Follow DENTALA2Z on Twitter Become a fan of DENTALA2Z on Facebook Dental A2Z Limited is EN ISO 13485:2003 certified dental manufacturing and distribution company based in the United Kingdom. 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C M Y CM MY CY CMY K DTwinterAdvertGBP.pdf 1 1/27/2012 9:27:05 AM Depigmentation The diode laser was used at 2W, continuous wave in a defocused mode. This caus- es a reduced depth of pen- etration, ablating only the superficial epithelium, which primarily contains the mela- nin pigments, leaving be- hind a carbonised layer. Only a surface anaesthetic spray was used for this proce- dure. Bleaching Laser light has the unique property of being absorbed by the chromospheres. These emulsions can be added to the bleaching gel, which are capable of absorbing laser en- ergy and thus inducing and promoting a fast, safe and ef- fective reaction. Cheek and tongue retractors were po- sitioned and a dry operatory was maintained. The gingival protection material was applied along the margin of the gingival covering approximately 1mm from the tooth surface in the cervical region. The bleaching gel was applied to teeth #11, 21, 12 and 22. Each tooth was then irradiated for 30 seconds in the same se- quence, constantly moving the tip of the laser, so that the laser energy was not directed at one place (at 1W). Fluoride gel was applied to each tooth and irradiated with the la- ser for 15 seconds to provide resistance to acid attacks on enamel and dentine. The pa- tient was recalled after two weeks. Phase 4: Prosthetic phase Crown preparation of teeth #42, 41, 32 and 31 was done. Elastomeric impressions were taken. Bite registration re- cords were taken and the ap- propriate shade was sent to the laboratory for the fabrica- tion of the crowns. Temporary restorations were fabricated using temporisation material. The patient was recalled after six days for the cementation of the crowns. Excess cement was removed, the occlusion was adjusted and contours were checked. Inference The final result showed that the definitive restorations and the soft-tissue proce- dures had restored the normal form, function and harmony of the oral cavity, while keep- ing the patient’s functional and aesthetic concerns in mind. Conclusion Dental lasers promote patient compliance through the non- invasive nature of treatment, faster recovery time and re- duced post-operative discom- fort. The use of laser reduces chairside time and improves operator efficiency and there- by reduces fatigue. DT Fig 8 Post-operative intraoral view